STUDENT INDUSTRIAL

INTERNSHIP PROGRAMME
LOGBOOK

Student Name

MEGAT NAIMPUTRA b MGT RODZEP

Matric No

15598

Programme

CHEMICAL ENGINEERING

Place of Training

INTEGRATED PROCESS SOLUTIONS

Period of Training

22 SEPT 2014 17 APRIL 2015

Project Title

Table of Contents
STUDENT INDUSTRIAL TRAINING (SIT)

SIT COURSE OUTLINE

SIT TRAINING SCHEDULE

SIT SUMMARY OF WEEKLY ACTIVITIES

SIT SUMMARY OF WEEKLY REPORT SCORES

LOGBOOK

11

5.1 Week 1 2

12

5.2 Week 3 4

23

5.3 Week 5 6

34

5.4 Week 7 8

45

5.5 Week 9 10

56

5.6 Week 11 12

67

5.7 Week 13 14

78

SIT PROCESS FLOW

89

STUDENT INDUSTRIAL PROJECT (SIP)

7

SIPCOURSE OUTLINE

91
92

SIP TRAINING SCHEDULE

SIT SUMMARY OF WEEKLY ACTIVITIES

94

10

SIP SUMMARY OF WEEKLY REPORT SCORES

96

11

LOGBOOK

98

11.1 Week 1 2

99

11.2 Week 3 4

110

11.3 Week 5 6

121

11.4 Week 7 8

132

11.5 Week 9 10

143

11.6 Week 11 12

154

11.7 Week 13 14

165

12

SIP PROCESS FLOW

176

13

APPENDICES

178

SIT COURSE OUTLINE

Subject Name
Code
Subject Status
Level
Credit Value
Prerequisite

Assessment

Item
Log Book
Students
Performance
Presentation & Short
Report
Total
Lecturer
Semester Taught
Course Learning
Outcomes

Subject Synopsis

Subject Planning

Student Industrial Training

IBB/ICB3037
Major
SarjanaMuda / Bachelor
7
CGPA not less than 2.0
Earned at least 75 credit hours for Engineeringand Petroleum Geosciences
programmes
(as at semester 5 result)
Earned at least 45 credit hours for ICT/BIS programmes (as at semester
3 result)
Pass (50%) / Fail Log Book, Students Performance & Competency and
Presentation & Short Report
Percentage (%)
Host Company Supervisor
20

UTP Examiner
-

35

15

15

15

70

30

Professionals from the industry and UTP Lecturers

Engineering and Petroleum Geosciences - After completion of semester 6
ICT/BIS - After completion of semester 4
At the end of this course, students should be able to:
1. Demonstrate skills in communication, management and teamwork
2. Adopt ethic, professionalism and HSE practices in work culture
3. Demonstrate continuous building of skills and knowledge throughout
the training
4. Appreciation of sustainability issues in industry

The Student Industrial Training provides opportunity to the

students to experience the real working environment of the
industry.

The students will develop skills in work ethics, communication,

management and working in a team.

Furthermore, this Student Industrial Training will establish close

relationship between the industry and UTP.
Duration
TheStudent Industrial Training comprises the
following components:
Knowledge of the workplace
Understanding on the job
Job performance
Quality of work
Job timeliness
14 weeks
Commitment in teamwork
Integrity
Communication skills
Discipline
Inquisitiveness and Initiative

Reference

1.
2.
3.
4.

Student Industrial Training Guidelines for

Academic Supervisors, Host Company and
Students, UniversitiTeknologi PETRONAS.
Engineering Codes, Manuals and Standards
Information Technology Standard and
Guidelines
Host Companys policy and guidelines

SIT TRAINING
SCHEDULE

Main Reference

N
O
1
2
3
4
5
6
7

TRAINING ACTIVITIES

WEEK NO / DATE
2 3 4 5 6 7 8 9 10 11 12 13

Project assignment & Project Planning

Data collections
AIV Study
Noise Study
AIV and Noise Study Report Submission to PCTSB
Report for SIP
Report Submission to UTP SV & Oral Presentation

SECTION A: SIP TRAINING SCHEDULE

Students Name
Place of Training
Period of Training

: MEGAT NAIMPUTRA B MGT RODZEP

: INTEGRATED PROCESS SOLUTIONS SDN BHD
: 22 SEPT 2014-17 APRIL 2015

Student no: 15598

Programme: CHE

14

(Please return this form to SIIU within three weeks after students registration)
Host Company Supervisor Signature & stamp:

Name:

Designation:
Date:

(Make copies if necessary)

SIT SUMMARY OF
WEEKLY REPORT
SCORES (LOG BOOK)
FORM

SIT SUMMARY OF WEEKLY REPORT SCORES (LOG BOOK) FORM

Students Name
15598
Place of Training
Period of Training

: MEGAT NAIMPUTRA B MGT RODZEP

: INTEGRATED PROCES SOLUTIONS
: 22 SEPT 2014 17 APR 2015

Student no
Programme

WEEK

SCORE

1-2

18/20

3-4

19/20

5-6

19/20

7-8

18/20

9 10

19/20

11 - 12

19/20

13 - 14

17/20

TOTAL SCORE

129/140

: CHE

KINDLY SUBMIT THIS FORM WITH SCORES (*to the completed weeks) TO THE
UTP SUPERVISOR DURING THE INTERNSHIP PRESENTATION.
Host Company Supervisors Signature & stamp:
Name:
Designation:
Host Companys name:
Date:
*Note: The remaining scores of any outstanding weeks will be filled up by UTP Supervisor upon the student submission
of complete log book at UTP

SIT SUMMARY OF
WEEKLY ACTIVITIES

SIT SUMMARY OF WEEKLYACTIVITIES

WEEK

1-2

3-4

5-6

7-8

9 10

11 - 12

BRIEF DESCRIPTION OF DAILY ACTIVITIES

1. Intro to Integrated Process Solutions Sdn. Bhd.
2. Meeting with clients
3. Discussion with Ir. Mohd Rafael (ED)
4. HAZID workshop at clients office with Mr Kamal Hadany
(MD)
1. HAZOP for 3 offshore platforms with Ir. Mohd Rafael
2. HAZID for Magtymguly Gas Recycling Project Drilling
Platform B (MDP-B) with Mr. Kamal Hadany
3. HAZOP for Magtymguly Gas Recycling Project Drilling
Platform B (MDP-B) with Mr. Kamal Hadany
1. Report for HAZOP of MDP-B
2. Submission of Project Title to CSIMAL
3. Instrument Protective Function (IPF) for MDP-B with Mr.
Kamal Hadany
4. Marketing notes
1. Review IPF with Mr. Kamal Hadany
2. IPF cause & effect matrix completion
3. Assisting for Company Fun Activities
4. HAZOP for Samarang Field (brownfield project) with Ir.
Mohd Rafael
1. HAZID for Magtymguly Gas Recycling Project (MK-A, MQ-A
& MCR-A) with Mr. Kamal Hadany
2. HAZOP for Magtymguly Gas Recycling Project (MK-A, MQA & MCR-A) with Mr. Kamal Hadany
3. Reports for HAZID & HAZOP
1. HAZID for Magtymguly Gas Recycling Onshore Gas
Terminal (OGT) with Mr. Johan Andak (IPS Associate)
2. HAZOP for Magtymguly Gas Recycling Project Onshore
Gas Terminal (OGT) with Mr. Kamal Hadany

13 - 14

SIT LOGBOOK
REPORT

LOG BOOK

WEEK NO: 1 2

WEEK NO DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

1.
2.

3.
4.
1&2

12/01/2015
23/01/2015

5.
6.

Confirming Project title for Student Industrial Project

The title has been confirm as Acoustic Induced Vibration (AIV) and
Noise Study for OGT Turkmenistan
Screebing for AIV using P&ID since no instrument datasheet
is received from client
Kelas Mengaji Al-Quran with all IPS staf
Technical and Marketing meeting with bosses and receive topic
for internal training of How To Read PFD &P&ID
Informing UTPs Supervisor the change of Project Title
Preliminary for Noise Study. Confirming scope of work with client

Detailed report is attached.

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing

Too dependent on
others

knowledge

Reflection

Curiosity

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 1

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 1

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 1

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 1

Contents :

DETAIL REPORT

WEEK NO: 1

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO:2

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO:2

Objective(s) of the activities :

Contents :

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 2

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO:2

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 2

LOG BOOK

WEEK NO

WEEK NO: 34

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

1. AIV study with available datasheet provided by client (5 PSV)
2. Mini HAZOP for New MDP-B Production Separator
3. How to Read PFD and P&ID internal training
4. Monthly Fun Activities with company
5.Noise study using SoundPlan Software

Detailed report are attached

3&4

26/01/2015 6/02/2015

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 3

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 3

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 3

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 3

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 3

Contents :

DETAIL REPORT

WEEK NO: 4

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 4

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO:4

Objective(s) of the activities :

Contents :

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 4

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 4

LOG BOOK

WEEK NO

WEEK NO: 56

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

1.
2.
3.
4.
5.

Medical Check Up for BOSET

Submit project title for SIIP
IPF/SIL briefing
IPF/SIL workshop session
Marketing Note

Detailed report are attached

5-6

09/02/2015 20/02/2015

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Host Company Supervisors Signature & stamp:

Date:

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Comments:

Name & Designation:

(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 5

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 5

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 5

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 5

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 5

Contents :

DETAIL REPORT

WEEK NO:6

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 6

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 6

Objective(s) of the activities :

Contents :

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 6

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 6

LOG BOOK

WEEK NO

WEEK NO: 78

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

1.
2.
3.
4.

7&8

23/ 02 / 2015 05/ 03 / 2015

BOSET Training in CONSIST Training Complex

AIV & Noise study continuation for OGT
Technical and Marketing Meeting
AIV for Magtymguly Ofshore Platforms

Detailed report are attached

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 7

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 7

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 7

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 7

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 7

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 8

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 8

Contents :

DETAIL REPORT

WEEK NO: 8

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 8

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 8

Objective(s) of the activities :

Contents :

LOG BOOK

WEEK NO

WEEK NO: 910

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

1.
2.
3.
4.
5.
6.

9 & 10

09/03/2015 20/03/2015

AIV study for Magtymguly Ofshore Platfoms

HAZID & HAZOP for Baram and Bayan Ofshore platforms SKO (modification)
HAZID & HAZOP for Bokor Central Processing Platform SKO
HAZID report for Baram & Bayan Platforms
Technical and Marketing Meeting
SIP Report

Detailed report are attached

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 9

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 9

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 9

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 9

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 9

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 10

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 10

Contents :

DETAIL REPORT

WEEK NO: 10

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 10

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 10

Objective(s) of the activities :

Contents :

LOG BOOK

WEEK NO

11 - 12

WEEK NO: 1112

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

23/03/201503/04/2015

1.
2.
3.
4.
5.
6.

HAZID report & review with Mr Kamal Izham

AIV study For MK-A Platform
Noise Study For GTPOGT
Compact Separator for Pertamina Indonesia
Control Valve, Separator sizing
SIP Report

Detailed report are attached

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 11

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 11

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 11

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 11

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 11

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 12

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 12

Contents :

DETAIL REPORT

WEEK NO: 12

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 12

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 12

Objective(s) of the activities :

Contents :

LOG BOOK

WEEK NO

WEEK NO: 1314

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 13

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 13

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 13

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 13

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 13

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 14

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 14

Contents :

DETAIL REPORT

WEEK NO: 14

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 14

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 14

Objective(s) of the activities :

Contents :

ASSESSMENT SIT
PROCESS FLOW

SIP COURSE OUTLINE

Subject Name
Code
Subject Status
Level
Credit Value
Prerequisite

Student Industrial Project

IBB/ICB3047
Major
SarjanaMuda / Bachelor
7
Pass IBB/ICB3037

Assessment

Graded Assessment - Technical Report, Log Book and Presentation

Item

Percentage (%)
Host Company Supervisor

Technical Project
Report
Log Book
Presentation
Total
Lecturer
Semester Taught
Course Learning
Outcomes

Subject Synopsis

Subject Planning

Reference

UTP Examiner

50

20
10
30

20
70

Professionals from the industry and UTP lecturers

Engineering and Petroleum Geosciences - After completion of semester
6
ICT/BIS - After completion of semester 4
At the end of this course, students should be able to:

1. Investigate the application of theoretical knowledge in the

industry (C5)
2. Analyse complex engineering/technical projects or problems
(C4)
3. Evaluate and propose solutions for given complex projects or
problems (C6)
4. Communicate effectively on complex engineering/technical
activities (P4)

The Student Industrial Project provides opportunity to the

students to integrate complex engineering/technologytheories
with the real working environment.

The students will demonstrate skills in work ethics,

communication, management and working in a team.
Duration
The Student Industrial Project may comprise the
following components but not limited to:
Integration of theory with practice
Real or simulation complex project-based
assignments
14 weeks
Research-based activities
Methodology
Data gathering and information collection
Technical report
1. Student Industrial Project Guidelines for Academic
Supervisors, Host Company and Students,
UniversitiTeknologi PETRONAS.
2. Engineering Codes, Manuals and Standards
3. Information Technology Standards and Guidelines
Main Reference
4. Host Companys policy and guidelines
5. Journal on appropriate topics
6. Related engineering and technology books
7. Internet resources

SIP TRAINING
SCHEDULE

SECTION A: SIP TRAINING SCHEDULE

Students Name: __________________________

Student no: _______

Place of Training : _________________________

Department

Training activities

Period of Training: ______________________________________

Week No/ Date

1

(Please return this form to SIIU within three weeks after students registration)
copies if necessary)
Host Company Supervisor Signature &stamp:

Name:

Designation:
Date:

Programme: _____

10

11

12

13

14

(Make

SIP SUMMARY OF
WEEKLY ACTIVITIES

SIP SUMMARY OF WEEKLYACTIVITIES

WEEK

1-2

3-4

5-6

7-8

9 10

11 - 12

13 - 14

BRIEF DESCRIPTION OF DAILY ACTIVITIES

SIP SUMMARY OF
WEEKLY REPORT
SCORES (LOG BOOK)
FORM

SIP SUMMARY OF WEEKLY REPORT SCORES (LOG BOOK) FORM

Students Name: ________________________

Student no: _______

Programme: _____

Place of Training : _______________________ Period of Training: ___________

WEEK

SCORE

1-2

/20

3-4

/20

5-6

/20

7-8

/20

9 10

/20

11 - 12

/20

13 - 14

/20

TOTAL SCORE

/140

KINDLY SUBMIT THIS FORM WITH SCORES (*to the completed weeks) TO THE
UTP SUPERVISOR DURING THE INTERNSHIP PRESENTATION.
Host Company Supervisors Signature & stamp:
Name:
Designation:
Host Companys name:
Date:
*Note : The remaining scores of any outstanding weeks will be filled up by UTP Supervisor upon the student
submission of complete log book at UTP

SIP LOGBOOK
REPORT

LOG BOOK

WEEK NO

WEEK NO: 1-2

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT

WEEK NO: 1

Objective(s) of the activities :

Contents :

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 1

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 1

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 1

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 2

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO:2

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 2

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 2

Contents :

DETAIL REPORT

WEEK NO: 2

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO:2

Objective(s) of the activities :

Contents :

LOG BOOK
WEEK NO

WEEK NO: 3-4

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 3

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 3

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 3

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 3

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 3

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 4

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 4

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 4

Contents :

DETAIL REPORT

WEEK NO: 4

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 4

Objective(s) of the activities :

Contents :

LOG BOOK

WEEK NO

WEEK NO: 5-6

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 5

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 5

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 5

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 5

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 5

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 6

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 6

Contents :

DETAIL REPORT

WEEK NO: 6

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 6

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 6

Objective(s) of the activities :

Contents :

LOG BOOK

WEEK NO

WEEK NO: 7-8

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 7

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 7

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 7

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 7

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 7

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 8

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 8

Contents :

DETAIL REPORT

WEEK NO: 8

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 8

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 8

Objective(s) of the activities :

Contents :

LOG BOOK

WEEK NO

WEEK NO: 9-10

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 9

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 9

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 9

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 9

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 9

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 10

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO:10

Contents :

DETAIL REPORT

WEEK NO: 10

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 10

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 10

Objective(s) of the activities :

Contents :

LOG BOOK

WEEK NO

WEEK NO: 11-12

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

1. HAZID for Magtymguly Gas Recycling Onshore Gas Terminal
(OGT) with Mr. Johan Andak (IPS Associate)
2. HAZOP for Magtymguly Gas Recycling Project Onshore Gas
Terminal (OGT) with Mr. Kamal Hadany

11 & 12

1/12/2014 12/12/2014

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 11

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 11

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 11

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 11

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 11

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 12

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 12

Contents :

DETAIL REPORT

WEEK NO: 12

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 12

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 12

Objective(s) of the activities :

Contents :

LOG BOOK

WEEK NO

13 & 14

WEEK NO: 13-14

DATE

BRIEF DESCRIPTION OF DAILY ACTIVITIES

06/04/201517/04/2015

1.
2.
3.
4.
5.

SIP Report Submission

SIP mock presentation
SIP presentation
Academic Research
Company Fun Activities and Farewell Party

Detailed of report is attached

Logbook Weekly Evaluation by HOST COMPANY SUPERVISOR

Instruction to Host Company Supervisor
Please refer to the students detailed report for that particular week before assessing his/her performance.
Please mark in the appropriate box based on the following score : [5] Excellent [4] Good [3] Average [2] Below Average [1] Unsatisfactory
Students Score

Initiative

Independence

Reflection

Curiosity

Completes required work,

identifies and pursues
opportunities to expand
knowledge, skills, and
abilities.

Completes
required
work, but requires
minimum supervision
to pursues opportunities
to expand knowledge,
skills, and abilities

Completes required
work as requested.

Partially
completed work
as requested

Incomplete work

Very
independent
and
pursues
substantial,
additional knowledge

Independent and
pursues substantial,
additional knowledge

Independent in
pursuing knowledge

Fairly
independent in
pursuing
knowledge

Too dependent on
others

Always reviews prior

learning (past experiences
inside and outside of the
work environment) and
indicating broader
perspective.

Moderately review
prior learning ( past
experiences inside and
outside of the work
environment)

Occasionally review
prior learning ( past
experiences inside and
outside of the work
environment)

Minimum review
prior learning

No review of
prior learning

Explores a topic yielding a

rich awareness.

Explores a topic in
depth

Explores a topic
superficially

Minimum
curiosity

No curiosity

Score:

/ 20

Comments:
Host Company Supervisors Signature & stamp:

Name & Designation:

Date:
(make copies if necessary)

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 13

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 13

DETAIL REPORT
Objective(s) of the activities :

Contents :

WEEK NO: 13

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 13

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 13

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 14

Contents :

DETAIL REPORT
Objective(s) of the activities :

WEEK NO: 14

Contents :

DETAIL REPORT

WEEK NO: 14

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 14

Objective(s) of the activities :

Contents :

DETAIL REPORT

WEEK NO: 14

Objective(s) of the activities :

Contents :

SIP PROCESS FLOW

APPENDICES

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date:

TITLE:

From Page No.

To Page No.
Verified by (Host Company Supervisor):
Initial & stamp:
Date: